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Ann Thorac Surg 2006;81:345-347
© 2006 The Society of Thoracic Surgeons

Case report

Successful Repair of Iatrogenic Acute Aortic Dissection With Cerebral Malperfusion

Riza Türköz, MD a , * , Oner Gulcan, MD a , Levent Oguzkurt, MD b , Esra Caliskan, MD c , Ayda Turkoz, MD c

a Department of Cardiovascular Surgery, Adana Teaching and Medical Research Center, Baskent University, Adana, Turkey
b Department of Radiology, Adana Teaching and Medical Research Center, Baskent University, Adana, Turkey
c Department of Anesthesiology, Adana Teaching and Medical Research Center, Baskent University, Adana, Turkey

Accepted for publication October 4, 2004.

* Address correspondence to Dr Türköz, Baskent Universitesi, Tip Fakültesi, Adana Uygulama ve Arastirma Hastanesi, Dadaloglu mah, 39 sok, No 6, PK 01250, Adana, Turkey (Email: rturkoz{at}yahoo.com).

We describe the successful treatment of a patient with iatrogenic acute aortic dissection including cerebral malperfusion as a complication of coronary artery surgery. After beginning cardiopulmonary bypass, a retrograde ascending aortic dissection associated with cerebral malperfusion was recognized. Systemic circulation was immediately arrested at 31°C. After aortotomy, hypothermic selective antegrade cerebral perfusion was established. Replacement of the ascending aorta with coronary artery bypass grafting was performed without neurologic complications.




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S. Yamashiro, Y. Kuniyoshi, K. Arakaki, and H. Inafuku
Intraoperative retrograde type I aortic dissection in a patient with chronic type IIIb dissecting aneurysm
Interactive CardioVascular and Thoracic Surgery, February 1, 2009; 8(2): 283 - 286.
[Abstract] [Full Text] [PDF]


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